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Organization

ABOUT YOU BRACE AND LIMB, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL BOURQUE CO (ORTHOTIST)
(386) 323-7990
Entity
Organization

Contact information

Practice address
1255 MASON AVE, DAYTONA BEACH, FL 32117-4501
(386) 323-7990
(386) 323-7992
Mailing address
1255 MASON AVE, DAYTONA BEACH, FL 32117-4501
(386) 323-7990
(386) 323-7992

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
ORT6
FL

Other

Enumeration date
10/14/2013
Last updated
10/14/2013
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